QUALITY AND COSTS OF PRIMARY CARE IN EUROPE
30-31 August 2010Pisa, Italy
Background• Common framework to describe primary
health care models in the EU is not available.
• Not yet developed a trans-national consensus on how to define quality of primary care.
• Cost of primary care are not well identified in national accounting systems.
Objective
• EUPRIMECARE is a project funded by the 7th Framework which aims to describe different primary care models in Europe, assess their quality in different dimensions and determine their costs.
Partners
1. Institute of Health Carlos III (ISCIII – ES)2. Universität Bielefeld (UNIBI- DE)3. University of Tartu (UTartu – ET)4. National Institute for Stratagic Health Research (ESKI
– HU)5. Institute for Health and Welfare (THL – FI)6. Kaunas Universtity of Medicine (KMU – LT)7. Universita Commerciale Luigi Bocconi (UB – IT)8. Országos Alapellátási Intezet (OALI – HU)
Overall Structure
Models of Primary Care in Europe
(WP2)
Cost(WP 3 & 4)
Quality(WP 5 & 6)
Establish link between Quality and Cost in Primary Care
(WP7)
Management &Coordination
(WP1)
Dissemination(WP8)
Workpackages
• Overall management of the project, including technical, administrative, financial and organisational issues.
• To provide the means for efficient internal information flow and knowledge management.
• To agree on and execute ethical procedures, publications rules, and rights.
WP1: Management & Coordination
Task leader: ISCIII
Workpackages
• To define and validate models of primary care in Europe• To classify models through 5 dimensions:
– Financing– Regulation– Payment– Organization– Organizational behavior
WP2: Primary care models in
EuropeTask leaders: ISCIII, KMU, THL
Workpackages
• To identify methodology for cost measurement in primary care at macro and micro level
WP3: Methodology for
primary care costs
Task leaders: UNIBI, UB
Workpackages
• To measure costs in primary care services in different EU countries:– At macro level. In relation to: population size, GPD, OECD
costs...– At micro level. Data related to specific services and
providers
WP4: Measurement of
primary care costs
Task leaders: UNIBI, ESKI
Workpackages
• To identify methodology for quality assessment in primary care (quality criteria, indicators...)
• Focus groups:– Patients– Professionals
WP5: Quality assessment
methodology
Task leaders: OALI, UTartu, THL, KMU, ISCIII
Workpackages
• To measure quality of EU primary care services including access, equity, appropriateness and patient satisfaction– Review of medical records– Population survey
WP6: Assessment of quality
Task leaders: UTartu, THL, KMU
Workpackages
• To establish a link between cost & quality in different primary care models
• To identify possible trade-offs between quality dimensions and costs according to desired improvements
WP7: Linking quality and costs
Task leaders: ISCIII
Workpackages
• To analyse potential impact of project results• Ensure effective dissemination to all relevant
stakeholders
WP8: Dissemination
Task leaders: ISCIII, THL, OALI
Implementation Management Organisational Structure of Euprimecare
EU Commission
Steering Committee
Coordinator
WP Leaders Stakeholders /Advisory Board
Potential impact
• Common research framework for Primary Care Organisational Models in Europe
• Methodology for measuring the cost of PC at macro & micro level
• Cost analysis of PHC models in Europe• Tools for quality assessment in EU PC• Review of quality in EU PC models• Recommendations for analysis of PC models in
terms of quality and cost
Thank you so much!
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